Evidence map›Paper›PMID 36064985›Full record

ArticleJournal of cancer research and clinical oncology2023

Assessment of depression, anxiety and fatigue in Tunisian patients in recovery from colon cancer and their impact on quality of life.

Amal Chamsi, Faten Ezzaairi, Jihene Sahli, Imtinene Belaid, Nouha Ammar, Rym Bourigua, Makram Hochlaf, Leila Ben Fatma, Imene Chabchoub, Slim Ben Ahmed

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In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effects of psychosocial interventions on cancer-related fatigue in patients with colorectal cancer: a systematic review and meta-analysis of randomised controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Trial
  3. Quality of Life and Symptoms of Anxiety and Depression Among Patients With Cancer: Insights From a Tertiary Care Hospital.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Amal ChamsiMedical School Sousse, Radiotherapy Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia. chamsiamal90@gmail.com.
Faten EzzaairiMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Jihene SahliMedical School Sousse, Community Medecine Department, University of Sousse, Sousse, Tunisia.
Imtinene BelaidMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Nouha AmmarMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Rym BouriguaMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Makram HochlafMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Leila Ben FatmaMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Imene ChabchoubMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Slim Ben AhmedMedical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeColon cancer survivors can experience several post-treatment consequences that include fatigue and often report severe psychological illnesses such as depression or anxiety. There is little published quantitative data on the quality of life and psychological well-being associated with the health of Tunisian colon cancer survivors.

methodsA total of 60 recovering colon cancer patients underwent a structured interview, which included the Hospital Anxiety and Depression (HADS) scale, the Piper fatigue scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).

resultsPatients were 59.26 years old on average. The median length of remission was 33.3 months. Surgery was performed on all patients, followed by 96.7% adjuvant chemotherapy. 15.1% of study participants were in the severe category for the depression score and 10% were in this category for the anxiety score. Ninety-one percent reported pathological fatigue scores on the Piper scale. However, only 8.33% were experiencing severe fatigue. According to the QLQ-C30 assessment, the overall quality of life was slightly impaired with an overall average score of 79.54 ± 16.98. Anxiety, depression and fatigue negatively affect global health outcomes and all their dimensions.

conclusionEven in the recovery phase, colon cancer patients can see their quality of life deteriorate. It comes out of their psychological experience and their physical life. It is, therefore, crucial to provide greater attention to these patients for holistic and multi-disciplinary care.

Indexed as

Colonic NeoplasmsQuality of LifeAnxietyDepressionFatigueHumansMiddle AgedSurveys and QuestionnairesAnxietyColon cancerDepressionFatigueQuality of lifeRemission

Identifiers

PMID36064985
PMCPMC9444694

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.